ADVANCED PRACTICE NURSING I -
COMPREHENSIVE EXAM REVIEW (NUR
6111) QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2026/2027
UPDATE. JUST RELEASED
1. A 45-year-old patient presents with acute right upper quadrant pain radiating to the right
scapula. During deep palpation of the RUQ, the patient suddenly halts inspiration due to pain.
Which clinical sign is this?
A. McBurney’s sign
B. Murphy’s sign
C. Rovsing’s sign
D. Psoas sign
Answer: B
Conceptual Explanation: Murphy’s sign is identified when a patient stops breathing mid-
inspiration during RUQ palpation, suggesting acute cholecystitis.
,2. Which heart sound is most commonly associated with heart failure and fluid volume
overload in an older adult, occurring early in diastole?
A. S3
B. S2
C. S1
D. S4
Answer: A
Conceptual Explanation: The S3 gallop occurs during the rapid ventricular filling phase
and often indicates pathological fluid overload or heart failure in adults.
3. During a neurological exam, the NP asks the patient to identify a familiar object placed in
their hand while their eyes are closed. This tests for:
A. Stereognosis
B. Proprioception
C. Graphesthesia
D. Two-point discrimination
Answer: A
Conceptual Explanation: Stereognosis is the ability to perceive and recognize the form of
an object in the absence of visual and auditory information.
, 4. A patient presents with a ‘curtain-like’ loss of vision in one eye. This symptom is most
characteristic of which ophthalmic emergency?
A. Glaucoma
B. Retinal detachment
C. Cataracts
D. Macular degeneration
Answer: B
Conceptual Explanation: Retinal detachment typically presents as a sudden loss of vision
often described as a shadow or curtain descending over the visual field.
5. According to the principles of biomedical ethics, which principle refers to the duty to do no
harm to the patient?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: B
Conceptual Explanation: Non-maleficence is the ethical principle of ‘first, do no harm,’
ensuring that the clinician avoids inflicting unnecessary pain or injury.
COMPREHENSIVE EXAM REVIEW (NUR
6111) QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2026/2027
UPDATE. JUST RELEASED
1. A 45-year-old patient presents with acute right upper quadrant pain radiating to the right
scapula. During deep palpation of the RUQ, the patient suddenly halts inspiration due to pain.
Which clinical sign is this?
A. McBurney’s sign
B. Murphy’s sign
C. Rovsing’s sign
D. Psoas sign
Answer: B
Conceptual Explanation: Murphy’s sign is identified when a patient stops breathing mid-
inspiration during RUQ palpation, suggesting acute cholecystitis.
,2. Which heart sound is most commonly associated with heart failure and fluid volume
overload in an older adult, occurring early in diastole?
A. S3
B. S2
C. S1
D. S4
Answer: A
Conceptual Explanation: The S3 gallop occurs during the rapid ventricular filling phase
and often indicates pathological fluid overload or heart failure in adults.
3. During a neurological exam, the NP asks the patient to identify a familiar object placed in
their hand while their eyes are closed. This tests for:
A. Stereognosis
B. Proprioception
C. Graphesthesia
D. Two-point discrimination
Answer: A
Conceptual Explanation: Stereognosis is the ability to perceive and recognize the form of
an object in the absence of visual and auditory information.
, 4. A patient presents with a ‘curtain-like’ loss of vision in one eye. This symptom is most
characteristic of which ophthalmic emergency?
A. Glaucoma
B. Retinal detachment
C. Cataracts
D. Macular degeneration
Answer: B
Conceptual Explanation: Retinal detachment typically presents as a sudden loss of vision
often described as a shadow or curtain descending over the visual field.
5. According to the principles of biomedical ethics, which principle refers to the duty to do no
harm to the patient?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: B
Conceptual Explanation: Non-maleficence is the ethical principle of ‘first, do no harm,’
ensuring that the clinician avoids inflicting unnecessary pain or injury.
